Provider Demographics
NPI:1982666327
Name:DELGADO RODRIGUEZ, JUAN ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:ALBERTO
Last Name:DELGADO RODRIGUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JUAN
Other - Middle Name:ALBERTO
Other - Last Name:DELGADO RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 372977
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-2977
Mailing Address - Country:US
Mailing Address - Phone:787-738-4446
Mailing Address - Fax:787-738-4449
Practice Address - Street 1:CENTRO PEDIATRICO CAYEY
Practice Address - Street 2:#53 HERACLIO MENDOZA
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-4446
Practice Address - Fax:787-738-4449
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR64672080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine